Medicine Administration in People with Parkinson ’s Disease in New Zealand: An Interprofessional, Stakeholder-Driven Online Survey

AbstractMedicine administration errors are twice as frequent in people with dysphagia than in those without. Medicine administration is particularly critical for people with Parkinson ’s disease where late, or missed doses reduce medicine effectiveness and impact on the quality of life. The aim of this study was to explore the current medicine administration practices of people with Parkinson’s disease in New Zealand. A self-administered online survey was developed by an inte rprofessional group including people with Parkinson’s disease (the primary stakeholders), speech-language pathologists and pharmacists. The survey was administered using a cross-sectional study design and asked respondents about self-reported swallowing difficulties [using Eating Assessment Tool ( EAT-10)], medicine regimes and strategies used to swallow medicines. Seventy-one people with Parkinson’s disease responded to the survey (69% male, mean age 72 years, mean years with Parkinson’s disease 9 years). Respondents reported complex daily multi-medicine consumption (mean no. of pills 11, range 2–25). Analyses showed that 57% of respondents scored outside the normal range for EAT-10 (>  3) with 57% complaining of difficulties with pills. Many respondents admitted to missing medicines and requiring external reminders. Multiple strategies for swallowing pills were described including crushing tablets, using yoghurt or fruit juice, and swallowing stra...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

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We describe the proposed methods for evaluating the uHSN quantitatively and qualitatively, and how the scientific community can replicate and/or integrate this contribution in its research.ResultsThe uHSN overcomes the main limitations of traditional HSNs in the main areas recommended in the literature: privacy, security, transparency, system ecology, Quality of Service (QoS), and technology enhancement. The qualitative and quantitative research demonstrated its viability and replicability in four key points: user acceptance, productivity improvement, QoS enhancement, and fostering of social relations. It also meets the ex...
Source: Journal of Biomedical Informatics - Category: Information Technology Source Type: research
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Source: International Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Source Type: research
Conclusions This study demonstrated that using an augmented visual feedback approach is beneficial, beyond a verbal cue alone, in addressing articulatory hypokinesia in individuals with PD. An optimal degree of articulatory expansion might, however, be required to elicit a speech intelligibility benefit.
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
Conclusions Individuals with PD without dementia demonstrated reduced discourse informativeness that reflects disruptions to both conceptual and lexical discourse processes. In exploratory analyses, reduced efficiency of information content was associated with global cognition and motor severity. Clinical and research implications are discussed within a Cognitivist framework of discourse production (Sheratt, 2007).
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
Conclusions: Individuals with PD without dementia demonstrated reduced discourse informativeness that reflects disruptions to both conceptual and lexical discourse processes. In exploratory analyses, reduced efficiency of information content was associated with global cognition and motor severity. Clinical and research implications are discussed within a Cognitivist framework of discourse production (Sheratt, 2007). PMID: 30208482 [PubMed - as supplied by publisher]
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
We just read onbstc_2line the article “Voice Tremor in Parkinson's disease: An Acoustic Study” by Gillivan-Murphy et al,1 in press in Journal of Voice. The article, bstc_6itself, might be of interest to a significant number of researchers in areas such as Parkinsonism, speech physiology, speech therapy, acoustics, biobstc_8medical engineering, and signal processing of biological signals. However, we would like to point out a serious lack of awareness by the authors of relevant previous literature.
Source: Journal of Voice - Category: ENT & OMF Authors: Source Type: research
SLPs came to ASHA’s Health Care Connect conference ready to learn about dysphagia, head and neck cancer, Parkinson’s disease, concussion, delirium—and much more. Across three days of sessions, SLPs heard how their unique skills and training prepared them to work as an integral part of multidisciplinary teams. Editor’s note: This is part two of a series on tips SLPs learned at ASHA Connect 2018. Read part one for insights heard from attendees of the schools’ sessions. Ruth Snyder, an SLP and solo practitioner in Jacksonville, Florida, began her Friday morning at Vivian Sisskin’s session, ...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Academia & Research Events Health Care Private Practice Schools Slider Speech-Language Pathology dementia Dysphagia Parkinson's Speech Disorders Source Type: blogs
The objective of this study was to evaluate the relationship of linguistic markers in semistructured speech to WFD symptoms and cognitive function in PD.Method Speech recordings of description of the Cookie Theft picture in 53 patients with PD without dementia and 23 elderly controls were analyzed with Praat software. Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005), category naming fluency, and confrontation naming tests were administered. Questionnaires rating WFD symptoms and cognitive instrumental activities of daily living were completed. We determined the relationships between (a) pause length and locati...
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
Parkinson ’s disease comprises postural instability, problems with gait, balance and mobility. Such deficits may lead to falls, which may further decrease quality of life, morbidity of PD and mortality in PD patients (Muslimovic et al., 2008). PD patients suffer from 3 times the risk of falls and 5 times th e injuries when compared to age-matched healthy controls (Horak, 2005). Although DBS improves motor skills, a trend towards more falls has been reported after STN-DBS (Weaver, 2009; Lai, 2013).
Source: Clinical Neurophysiology - Category: Neuroscience Authors: Source Type: research
The objective of this study was to evaluate the relationship of linguistic markers in semistructured speech to WFD symptoms and cognitive function in PD. Method: Speech recordings of description of the Cookie Theft picture in 53 patients with PD without dementia and 23 elderly controls were analyzed with Praat software. Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005), category naming fluency, and confrontation naming tests were administered. Questionnaires rating WFD symptoms and cognitive instrumental activities of daily living were completed. We determined the relationships between (a) pause length and...
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
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